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  • This does not constitute an agreement to rent an apartment to you.  If an apartment becomes available, you must also meet the tenancy requirements and sign a rental agreement.
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  • Management makes no representations as to when vacancies may occur or how long a wait it could be before an apartment becomes available.
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Name:
Address:
City:
State:
Zip Code:
Phone(s):
* E-mail:

Date of Birth:
Date of Birth:

I (we) would be able to move into an apartment within the next two weeks, if acceptable apartment was available:
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Yes   No
If no, on what date would you be available to move in?

If we cannot reach you at the above address, where else could we reach you or who else could contact to let you know that an apartment has become available?
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Name:
Address:
City:
State:
Zip Code:
Phone(s):
Relationship:

Do you want a 1 or 2 bedroom apartment?
One   Two   Either

Please give us any other information that will help us get to know you and your needs:
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